血管缝合器缝合股动脉的血管并发症及其处理  

The complication and management of suturing femoral arteries with suture mediated closure system

作　　者：李伟明[1] 陈艳清[1] 徐亚伟[1] W.Bojara 杨海燕[1] 徐剑钢[1] 张戟[1] 韩雪根[1] 侯磊[1] 范雪华[1] 

机构地区：[1]上海市第十人民医院同济大学附属铁路医院心内科,200072 [2]Department of Cardiology,Bergmannsheil Universitaetsklinik

出　　处：《介入放射学杂志》2005年第2期132-134,共3页Journal of Interventional Radiology

摘　　要：目的　探讨血管缝合器缝合股动脉的血管并发症及其防治。方法　选择冠脉造影和 (或 )冠心病介入治疗 (PCI)后采用血管缝合器缝合股动脉病例 2 18例 ,观察其成功率及血管并发症。结果　股动脉血管缝合 2 18例 ,成功率为 91.3% ,出现小血肿并伤口感染仅 1例 ,发生率 0 .5 % ;无假性动脉瘤、血栓形成以及栓塞事件。结论　血管缝合器适用于冠脉造影和PCI术后股动脉血管的缝合止血 ,其成功率高 。Objective To discuss the femoral vascular complications and management in the patients with coronary angiography (CAG) and percutaneous coronary intervention (PCI) after applying the Suture Mediated Closure System (SMCS).Methods We observed the successful rate and the vascular complications in patients treated with the SMCS. Results Two hundreds and eighteen patients were treated with the SMCS, obtaining the success rate of 91.3%. Complication involved only one hemotoma with femoral arterial infection ( 0.5%), but no pseudoaneurysm, no embolus formation and embolization.Conclusions The suture closure system used in coronary angiography and PCI has high successful rate and less vascular complications.

关 键 词：血管并发症 缝合器缝合 股动脉 冠心病介入治疗 并发症发生率 冠脉造影 假性动脉瘤 血管缝合器 方法选择 伤口感染 栓塞事件 血栓形成 缝合止血 动脉血管 功率 PCI 

分 类 号：R543[医药卫生—心血管疾病]